Acute coronary syndromes

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Acute coronary syndromes

  1. 1. Acute Coronary Syndromes Paleerat Jariyakanjana, MD Emergency Physician Faculty of Medicine Naresuan University 27 Dec 2012
  2. 2. Anatomy
  3. 3. AnatomyLAD: anterior & septal regionsLCx  some of the anterior wall  large portion of the lateral wallRCA:  right side of the heart with blood  some perfusion to the inferior aspect of the left ventricle through the posterior descending artery
  4. 4. DIAGNOSIS
  5. 5. http://ecg-interpretation.blogspot.com/2012/07/ecg-interpretation-review-47-normal.html
  6. 6. http://lifeinthefastlane.com/ecg-library/basics/left-ventricular-hypertrophy/
  7. 7. http://www.learntheheart.com/GALV-Aneurysm.html
  8. 8. http://www.heartpearls.com/tag/ecg-in-pericarditis
  9. 9. http://www.learntheheart.com/GALBBB.html
  10. 10. http://www.emedu.org/ecg/crapsanyall.php
  11. 11. http://lifeinthefastlane.com/ecg-library/lmca/
  12. 12. http://lifeinthefastlane.com/ecg-library/basics/high-lateral-stemi/
  13. 13. Electrocardiographyinitial 12-lead ECG within 10 minutesInferior wall AMIs: V4R obtainednondiagnostic tracing: repeated at 15-30 minute intervals
  14. 14. Electrocardiography
  15. 15. Electrocardiography ECG in emergency medicine and acute care, 1st ed
  16. 16. TREATMENT
  17. 17. STEMI: reperfusion  percutaneous coronary intervention (PCI)  fibrinolytic therapyGoals  PCI: within 90 minutes of ED arrival  Fibrinolysis: within 30 minutes of ED arrival
  18. 18. ReferenceTintinallis Emergency Medicine, 7eTintinallis Emergency Medicine Manual, 7eECG in emergency medicine and acute care, 1st edCritical Decisions in Emergency and Acute Care Electrocardiography
  19. 19. ANY QUESTIONS?

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